Journal of Medical Erudite
  • Year: 2018
  • Volume: 6
  • Issue: 1and2

Managing An Unexpected Finding of Dilated Common Bile Duct in a Peripheral Hospital-A Personal Experience

  • Author:
  • M. Y. Shareef1, Tanveer Ahmad2
  • Total Page Count: 8
  • Page Number: 35 to 42

1Department of General Surgery, Faculty of Dentistry, Jamia Millia Islamia (A Central University), New Delhi-110025, India

2Department of Anatomy, Faculty of Dentistry, Jamia Millia Islamia (A Central University), New Delhi-110025, India. (Corresponding author)

Online published on 26 June, 2019.

Abstract

This clinical study reveals an unusual way of managing the common bile duct exploration in a peripheral hospital where it was not possible to procure a T tube. A Foley's catheter was made into a make shift T tube as described in the text below, and the unexpectedly encountered dilated common bile duct during a planned cholecystectomy was drained with this without any adverse postoperative course.

However, this is not recommended as a routine procedure and all the requirements for any surgery should be checked in advance in any peripheral hospital where such situation could arise.

Keywords

Common bile duct (CBD), cholecysto-duodenal fistula, fallacies in hepato-biliary ultrasound, make shift T tube with a Foley's catheter